HomeMy WebLinkAboutB4-841 HKY FIRE RPT 4-26-04.PDFHICKORY FIRE DEPARTMENT ?F%07-SL,)>
Fire Prevention Bureau vh�e lug and Pletoceh
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Phone: (828) 323-7522 Fax: (828) 323-7476 y
FIRE INSPECTION REPORT
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Address 13 !37,- C_z kf"l Phone No. _5031 KII_esll
Type of Occupancy Inspector
Type of Inspection: �<nitial Inspection F-1 Re -Inspection 1-1 Other
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Inspection Status: Approved Temporary Approval
No. of Violations: Re -Inspection Date:
Name of Occupant:
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Occupant Signature:
Disapproved .-'
Re -Inspection Fee:
Title:
(Please Print)
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